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Individual

ANDRINA KALITA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
2265 W BROADWAY ST, IDAHO FALLS, ID 83402-2996
(208) 524-7400
Mailing address
2265 W BROADWAY ST, IDAHO FALLS, ID 83402-2996
(208) 524-7400
(208) 542-8004

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4371464
ID

Other

Enumeration date
06/09/2025
Last updated
01/29/2026
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